Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | 103TR0400X | NV |
NPI | 1477097293 |
---|---|
Provider Name | Carolena Natalia Barrett |
First Address | Henderson, NV 89014-3964 |
Second Address | Las Vegas, NV 89121-5954 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2016 |
Last Update Date | 13/12/2016 |